Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Optumcare Colorado Medical Group LLC

Organization Family Medicine Physician · NPI 1568093847

Optumcare Colorado Medical Group LLC is a Family Medicine Physician in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3470 Centennial Blvd Ste 205
Colorado Springs, CO 80907-8669
Phone: (719) 598-4588
Fax: (719) 594-4067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1568093847
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOptumcare Colorado Medical Group LLC
Authorized official Emily Castillo — Associate Director Credentialing · (702) 579-3253
Other names Mountainview Medical Group At Centenial; Davita Medical Group Colorado Springs Llc; Optumcare Colorado Springs Llc
NPI enumeratedJanuary 27, 2020
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

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